go back

California rates for HCPCS 50972

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $549.54 / $1,122.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,071.52 / $6,918.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $977.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $724.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $2,951.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $446.68 / $707.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $954.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,951.21 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $977.24